224270 09/23/2013 CITY OF CARMEL, INDIANA VENDOR: 363346 Page 1 of 1
ONE CIVIC SQUARE INDY BALLOONS.COM CHECK AMOUNT: $303.50
CARMEL, INDIANA 46032 PO BOX 90021
INDIANAPOLIS IN 46240 CHECK NUMBER: 224270
CHECK DATE: 9/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 9/14/13 303 . 50 GENERAL PROGRAM SUPPL
360 %
Delivery ate: Su M T W Th F Sa
ESEP2 e' ry Time : fl/1 Event Time : s.r_�...
-, - ❑ lient has been advised of balloon floating times
(J ❑ lient has been advised of payment policies
❑ n add-on gift item is part of this order
1ndyBaffoons.cow 317-9"--7007 P.O. Box 90021 Indianapolis, IN 46240
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Signatures) IndyBalloons takes pride in delivering quality balloon products.
We cannot guarantee products after delivery,or in adverse weather conditions.
View full policy at IndyBalloons.com.
Qty Item Description Rate Amount'
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Due At
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SELECT ONE FORM OF PAYMENT : Sub Total:
1.Credit Card: Visa" MC Amex Disc
Delivery:
Billing Zip Code Security ode Set-Up/Strike
or Billing Fee: REMITTANCE Date
Name on Card 5O e
Pre-Tax Total: _ Jo
Customer authorizes Seller to debit Customer's credit car or deduct from the Customer's deposit any -�� Total Due:303 J
outstanding balance remaining on the Customer's acc nt. I N Tax: r ,
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De osit:
Sub Total:
3.Service Fee or Late Fee:$95.00 AP:_ _ !\ �
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Delive ed By Delivery Tim B sy igni g I approve delivery and all policies. \Driver Tip:
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show, kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
363346 lndy Balloons.com Terms
P.O. Box 90021
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
9/14/13 9/14/13 Tour de Carmel decorations 36098 $ 303.50
Total $ 303.50
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6 .
20!
Clerk-Treasurer
Voucher No. Warrant No.
363346 Indy Balloons.com Allowed 20
P.O. Box 90021
Indianapolis, IN 46240
In Sum of$
$ 303.50
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-60 9/14/13 4239039 $ 303.50 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
19-Sep 2013
Z.Xfi"XM,9,1
Signature
$ 303.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund